Oriental Insurance Company Complaints & Reviews

Hi Team,

claims reference no : AEDV-3-09020, which is already approved by your TPA Heritage India but they have not yet disbursed the money. Below is the copy of email conversation.

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Hi Anil,

I am waiting for disbursement from last 2 month but don’t have any update . Today I have called Oriental India for my claim status and came to know that there is no claim registered against my policy, why such kind of miscommunication .

I am tired calling you guys every week but didn’t receive any concrete reply, not sure why don’t you guys pick the call (trying on +[protected]/ 92/ 93 ) .

Please have a clear understanding of my claim and provide the disbursement date.

Regards,
Ashwini


From: "Singh, Ashwini A."
Date: Wednesday, April 11, 2018 at 9:38 PM
To: Anil Yadav, ompcallcenter2, ,
Cc:, Coris Heritage, , heritagemumtpa
Subject: Re: CLAIM PROCEDURE FOR REIMBURSEMENT claims reference no : AEDV[protected] Urgent

From: "Singh, Ashwini A."
Date: Wednesday, April 11, 2018 at 9:28 PM
To: Anil Yadav, ompcallcenter2,
Cc:, Coris Heritage, , heritagemumtpa
Subject: Re: CLAIM PROCEDURE FOR REIMBURSEMENT claims reference no : AEDV[protected] Urgent

Hi Prakash,

Can you please help me regarding this ?

From: Anil Yadav
Date: Friday, February 23, 2018 at 4:08 PM
To: "Singh, Ashwini A.", ompcallcenter2
Cc:, Coris Heritage, , heritagemumtpa
Subject: Re: CLAIM PROCEDURE FOR REIMBURSEMENT claims reference no : AEDV[protected] Urgent

Dear Madam,

Thanks for your email. Please be informed that the claim is approved for AUD7212 less USD 100.00(policy deductible).

Regards,
Anil Yadav

On Thursday 22 February 2018 04:34 PM, Singh, Ashwini A. wrote:
Hi There,

I am tired of calling and sending an email, Anybody there for reply back .

Regards,

From: "Singh, Ashwini A."
Date: Tuesday, February 6, 2018 at 2:51 PM
To: ompcallcenter2
Cc:, Coris Heritage, , heritagemumtpa, Anil Yadav
Subject: Re: CLAIM PROCEDURE FOR REIMBURSEMENT

Gentle reminder !

From: "Singh, Ashwini A."
Date: Wednesday, January 31, 2018 at 1:36 PM
To: ompcallcenter2
Cc:, Coris Heritage, , heritagemumtpa, Anil Yadav
Subject: Re: CLAIM PROCEDURE FOR REIMBURSEMENT

Gentle reminder !


From: "Singh, Ashwini A."
Date: Tuesday, January 23, 2018 at 12:03 AM
To: ompcallcenter2
Cc:, Coris Heritage, , heritagemumtpa, Anil Yadav
Subject: Re: CLAIM PROCEDURE FOR REIMBURSEMENT

Gentle reminder !

From: "Singh, Ashwini A."
Date: Thursday, January 18, 2018 at 10:56 PM
To: ompcallcenter2
Cc:, Coris Heritage, , heritagemumtpa, Anil Yadav
Subject: Re: CLAIM PROCEDURE FOR REIMBURSEMENT

Hi Team,

Any update on claim processing ?

Regards,
Ashwini

From: ompcallcenter2
Date: Thursday, January 11, 2018 at 10:27 PM
To: "Singh, Ashwini A."
Cc:, Coris Heritage, , heritagemumtpa, Anil Yadav
Subject: Re: CLAIM PROCEDURE FOR REIMBURSEMENT

Dear Sir,

Thanks for your email.

We are sorry for the inconvenience caused due to some technical errors.

However we acknowledge the receipt of your documents received on 06/01/2018 on the name of Mrs. Kalyani Singh Our claims reference no : AEDV-3-09020.

Regards,

Suhas Urekar
HHITPL-MUMBAI

On Thursday 11 January 2018 04:21 PM, Singh, Ashwini A. wrote:
Hi Everyone,

I am keep following over the email but no one is replying, and unfortunately below numbers are dead . Let me know if anyone get chance to reply me with best reachable number and query for below email trail.

PHONE : +[protected]/ 92/ 93


Regards,
Ashwini

From: "Singh, Ashwini A."
Date: Thursday, January 11, 2018 at 1:00 AM
To: ompcallcenter2
Cc: Coris Heritage, HHTPA - VA
Subject: Re: CLAIM PROCEDURE FOR REIMBURSEMENT

Gentle reminder !!


From: "Singh, Ashwini A."
Date: Tuesday, January 9, 2018 at 8:26 AM
To: ompcallcenter2
Cc: Coris Heritage, HHTPA - VA
Subject: Re: CLAIM PROCEDURE FOR REIMBURSEMENT

Gentle reminder !!

From: "Singh, Ashwini A."
Date: Monday, January 8, 2018 at 6:59 PM
To: ompcallcenter2
Cc: Coris Heritage, HHTPA - VA
Subject: Re: CLAIM PROCEDURE FOR REIMBURSEMENT

Hi Team,

I have sent all documents to mentioned address . Request you to confirm once receive the documents.

Regards,
Ashwini

From: ompcallcenter2
Date: Tuesday, December 5, 2017 at 10:19 PM
To:
Cc: Coris Heritage, HHTPA - VA
Subject: Re: CLAIM PROCEDURE FOR REIMBURSEMENT

Dear Sir,

If outpatient treatment is required (in general no hospitalization required) i.e. clinic, OPD visit please avail the treatment and submit the claim for reimbursement once you come back to India.

Followings are the documents required to process the claim for reimbursement.

1. Duly filled & Signed Claim Form. (attached)
2. Original Policy Schedule
3. Copy of Air-tickets showing departure date from India
4. Copies of Passport showing departure date from .
5. Original Medical Bills and Payment Receipts.
6. Original Medical Reports
7. All Investigation Reports.
9. All Lab Reports
10. Doctor's notes mentioning chief complaint, exact diagnosis, past medical history and treatment plan.
11. Bank details & Cancelled Cheque.

You may submit the claim from abroad or once the insured is back in India at below mentioned address.

Our Address:

Heritage Health Insurance T.P.A. Pvt Ltd
Elite Auto House, 54-A,
Ground Floor (Rear Side)
Andheri-Kurla Road, Chakala,
CIN: U85195WB1998PTC088562
Mumbai �" 400093
PHONE : +[protected]/ 92/ 93
FAX : +[protected]
E-mail : [protected]@vsnl.net

Regards,

Shoaib.Shaikh
HHITPL-MUMBAI

[protected][protected][protected]
Heritage Health Insurance TPA Pvt Ltd, Mumbai, India

[protected][protected][protected]
Heritage Health Insurance TPA Pvt Ltd, Mumbai, India

--
With Regards,
Anil yadav
Heritage Health TPA Pvt.Ltd.
Elite Auto House, 54-A Ground Floor,
Next to Crisil House,
Andheri-Kurla Road, Chakala
Mumbai - 400093
Tel No:+[protected] / 92 / 93 / 94
Fax: +[protected]
Email ID: [protected]@vsnl.net,
CIN: U85195WB1998PTC088562


[protected][protected][protected]
Heritage Health Insurance TPA Pvt Ltd, Mumbai, India

Dear team,

I have been a loyal customer to Reliance digital since so many years. But never had a experience like this. I had bought a mobile oppo F5 from Reliance digital in Bangalore phoenix market city.

The sales man had said me to take a insurance for the same for accident damage or theft.

Last month the mobile has broken accidentally and I contacted the insurance company it was said to me to courier all the documents to

W AND IA SERVICES

342 IIIRD FLOOR VARDHMAN DEECEE PLAZA

SECTOR - 11, PLOT NO - 7

DWARKA NEW DELHI – 110075

I had done it it have been many days and their is no response from the insurance company, in spite of me sending so many mails.

Please help me out the details are as follows

252628

VINOLIYA A

Mobile IMEI -[protected]

Bought on - 08-Dec-2017

Mobile value - 19224.43

OPPO

Oppo F5 Golden (OC/4/32/6in)

Policy number - 161100/48/2018/4150

LIST 155

Hoping for a sooner solution

Regards

Dear sir/madam

I am m ravi kumar owning an insurance policy for my four wheeler maruti suzuki swift vdi 2011november model.

My insurance policy number:

211200/31/2018/105662

I have applied for a claim in april 2018 at oriental insurance office at vindhyanagar ntpc, singrauli, madhya pradesh.
I have taken your policy online, but i find your response to be pathetic, as there has been no response from you people at delhi since april this year
As you are aware that my online policy is been issued from delhi and my permanent address is at hyderabad.

Finally as per your branch managers version at vindhyanagar ntpc, singrauli - madhya pradesh form 64vb is pending to finally process and disburse the claim.

At least now which is been high time.. Do look into the matter and arrange the required form64vb to the concerned manager at singrauli office.

There has been no response to mail communication as neither of your telephone is being answerable.
Let me know your contact number which is in answerable condition

Regards
M ravi kumar

I am holding the oriental insurance policy (171800/48/2018/6028). I had the ovarian surgery last month. My total expenditure was 1, 47, 000. My sum insured is 1, 00, 000. I got the only 50, 000 as a claim settlement. I want to know how it can be possible. Revert on the earliest.

Regards,
Vanita parmar
[protected]
[protected]
[protected]@gmail.com

Patient name: mr. Kishor boradia
Claim no: hi-oic[protected]
Ic claim no: 131101/48/2019/000203
Policy no:- 131101/48/2017/19037

I had lodged a claim of my father (Mr. Kishor boradia) in reference to the above mentioned policy with health india insurance (Tpa) on 01st march 2018 of rs.1, 28, 890/- for strangulated umbical hernia. To my surprise they deducted rs.51000/- stating that (Reasonable & customary charges deducted)

First of all i had lodged a complaint with the tpa and insurance company regarding the deduction of claim. To my surprise they told me that they had deducted my claim to such an extent because they had compared the charges of other hospitals in metro cities for present ailment.

Let me put it in this way before operating my father for the above ailment i had taken quotations from 2 hospitals:-
1. Purohit hospital
This hospital is in borivali (West) mumbai – 400092 which is my locality.
They had given me a quotation of rs1, 80, 000/-

2. Vrindavan nursing home
This hospital where i was admitted initially gave me a quotation of rs.1, 80, 000/- and then after asking for a discount i decided to go for this hospital and my final bill was made of around rs.1, 28, 890/-

I am a middle class man with a sum insurance of rs.7, 00, 000/- under oriental happy family floater mediclaim – gold policy since last 6 years.

After comparing the charges of above mentioned hospitals i opted for vrindavan hospital as it is near my residence.

Please explain me how will i figure out that the charges are very high of the hospitals that they are charging us. I am unaware that what are the charges to which they are comparing the expenses charged to me by vrindavan nursing home.

Claim settlement like this are making us people loose faith in psu companies.
I always prefer to have a mediclaim in a psu company rather than private insurance company but such unreasonable settlement of claim worries us that are they just recruited to dishonour the claim.

Please look into the matter and provide me justice as i am fed up of the health india insurance (Tpa) and the oriental insurance company

Please look into the matter and reply me urgently.


Yours faithfully

I had purchased four wheeler vehicle (Ka35n4143) policy on 22 july online but till date i did not received soft copy on my mail as well as hard copy against my details-
Name - ravindra barsagade
Con no - [protected]
Vehicle no - ka35n4143
Renewal of policy no-211200/31/2018/41827
Renewal reference no - r/211200/31/2018/47826.

I have mail to your portal many times but still issue not resolved.

Requested you to resolved.

Hi,
One of my motorcycle claim is pending since[protected]. I timely submitted the claim to one of your executive at smooth honda, darya ganj. Whenever i call on your customer care number, they said me that, submit your claim at videocon tower, jhandewalan, delhi while i already submitted the claim.
Darya ganj executives says that, they have sent the claim to videocon tower for process. And no response i am getting from both the sides towards my claim. It has been more than four months but nothing response get from your side. Is this the way you deal with your customer?
This is my final way to contact you before i go to consumer court.
Kindly solve my issue as soon as possible so that i could think of take more policies from oriental insurance in future.

Attached is a receiving of claim.

Thanks & regards

Vikas kumar

Vehicle reg #- dl14sc0822

Policy # 271702/31/2018/21749.

I applied for renewing bike policy and paid 1055 rupee for the same but oriental insurance said that they have not received payment at their end and if any amount is deducted from account that will be automatically paid by billdesk.

Transaction id was ncpi[protected].

Till now amount has not yet refunded.
Please help me in getting my amount refunded.

Hello sir/madam
My name is mrs dharmaraj we hold a policy with oriental insurance since 2013. We are based out o[censored]sa and in 2016 we faced an issue renewing our policy 423191/48/2016/103 in the name of dharmaraj srinivasan (Family floater plan) on 22/9/2016 as our online portal showed technical issues tried contacting oriental as usual no reply through call center, so we managed to reach out to someone in mumbai india and within the grace period of 30 days we started the process and paid our pemium but to realise our new policy starts from 1st nov 2016 till date. As we have no clue how ur procedures are for such situation.
So issue starts here recently our family member went through an angioplasty and we couldn’t recive the cashless facility as per our tpa vipul for some weird reasons thrice via the hospital which had no sense. Currently we are trying to submit a claim with them for reimbursement so they are giving us reason that we had lapse in our premium and need to get an letter from oriental and we had paid within the grace period. Our agent now tells us we were late so we hv new policy but who the hell was he to decide to get a new policy whst about the money ee paid for earlier years. And now its time to submit claim we were getting mo response on this issue from oriental or tpa nor the head office all are blaming one another. So whos what to do be cheated like this just because we rnt in the country and thry cn do whatever they want.
We are reaching out to you to please help us in getting a letter as per (Vipul tpa requirement from oriental insurance) stating that we have been paying money since 2013 and the insurance is valid considering the lapse and grace period payment. Because they are not helping us out. Will be very grateful i[censored] guys can help us out and get our issue resolved by going through our history and getting us the letter.

Thank you. Hope to hear from you guys soon. As we need to submit clsim within aday as per ur company rule.

Policy renewal pattern : family floater plan
Policy no 1 - 423191/48/2014/58
Policy no 2 - 423191/48/2015/281
Policy no 3 - 423191/48/2016/103
Policy no 4 - 124200/48/2017/9665
Policy no 5 - 124200/48/2017/8695

I have paid rs.1026 on 30/07/2018 towards policy no : 451200/31/2018/1516 thro. Kvba/c _merchant ref:nkvb[protected]_branch. 9999- oriental insurance [protected]. I have taken all details from my bank passbook. I do not know some technical issue. The processing ends in failure. The same wasnt recognised by the oriental insurance. I need to renew the same policy before 9 th. August'2018. Kindly refund my deducted amount from billdesk.

Respected Sir,

As per your mail I am forwarding the complaint form for your ready ref. But it is very true if i Have submitted this claim through any agent then it will pass with in time.Till today i was informed that claim in progress. This is status of today i which it shown that in progress.

I can not understand how the claims are pass By DHS MOS in Corporate HR office which are managed medi claims. And up to my knowledge Sir H.N. Reliance hospital Mumbai will never issue manged bills.

I hope you will look into matter and do needful at your earliest

Dear Sir,

Sub:Insured Name:-Easy Source HR Solutions Pvt Ltd ; GMC Policy No. 510000/2017/1159 Policy Period[protected] to 30/06/2017

We had a GMC policy from OIC which has ended on 30/06/2017 from then we are continuously followup and sending Mail to OIC office to release the payment but after One year they had not resolve this issue.
We have complained Every channel for this Like CBRO, CSD, OIC Ombudsman office, DGM, IRDA and Bima Lokpal but no one has given any solutions on this pending Claims.
We can not understand how can we take it further Our 1 lac rupees is still pending.
Thanks
Easy Source HR Solutions Pvt. Ltd.
[protected]

Reminder of my above letter dated 3 may .till date no settlement received kindly look into The matter nd settle as earlier as possible.
Thanks
[protected] Forwarded message[protected]
From: "consumercomplaints.in"
Date: 3 May 2018 6:53 p.m.
Subject: Oriental Insurance Company Complaint Status Update [ID: 1945096]
To:
Cc:

Greetings.

Your complaint has been forwarded to The Oriental Insurance Company Ltd customer service. You should receive a reply from the company representatives within several days.

Please login to your account to view and update the status of your complaint.
To view your complaint on ConsumerComplaints.in click here

We sincerely hope your issue will be resolved as soon as possible!

Kind regards,
ConsumerComplaints.in Team
We are here to help

I have taken Mediclaim and currently done one claim, on 14/06/2018 it was approved from its TPA HITPA, Till Date after many follow up at HITPA the TPA Company and Oriental Insurance Company. Not Getting any status as what is the reason for Delay Payment and when I can Get the Claim Payment.
even at customer care HITPA Says Oriental will do payment and Oriental says HITPA will do payment. also says we will forward mail to concern and wait for 2, 3 days. nut no result. they provide local person contact no. but not getting the call after many tries.
Claim No :[protected].
No body have answer when can i get it. please help me to get money from these worst companies.

I shri prabir kumar datta renew a two wheeler motor cycle (Tvs wego) policy number for the newly created policy no. 311702/31/2019/1241, on 03/07/2018 at 02.55pm and transaction id nur [protected] and proposal number r/311702/31/2018/5005 through online but i have not yet received policy details through email (My email. Id is [protected]@gmail.com) rupees 850/- has been deducted from my bank a/c (Ubi, chinsurah branch, hooghly, west bengal, pin 712101)
I have received a sms from vk oicweb that " thank you for buying the policy. Please check your email for the policy details. My ph. No. Is [protected].

I would like to request you to take the necessary action as i get the policy details as soon as possible.

Thank you,

Claim id : 1933843
Date of document submitted : 2nd may 2018
The agents keep saying that the money will be in you account today but that doesn't happen. I have been getting false jazz since the past 2 weeks
I still haven't got my reimbursement amount. If i tell them that i will atke strict action, they directly ask me to do what i want without any regret. Every day i get the same answer as to the money will be in your account today but no progress. Reason please???

Sir.
I kirit c shah is a holder of mediclaim policy of oriental/pnb.
I have filed a claimed on 16/05/2018. Till now i haven't heard from mediassist regarding the same.
I being a senior citizen agent 74 years have borrowed money from other sources to pay my medical bills.
Policy no. 144000/48/2018/32876
Claim id 17022791.
I am not in a position as what's the status and why are you treating senior citizens this.
I request you to kindly expediate the same.

Regards

Kirit
[protected]

Dear oriental team,
My name is krishna bawa, and i took the insurance from your company on the regular yearly basis. I have submitted my activa scooter in rajinder honda services jhilmil branch before few days. And today i visited their for just checking the status. And now they said that the servere mr. Rajiv (Contact no. [protected]) deny for repaired or replace the luggage box of the scooter. When i called him he said to me that i could not justify that how it happend to your scooter (The main thing i noticed while i was talking to him, he dont have the mannner of talking with the customer) he was asking to me that what do you mean by zero depth policy, the matter was when the acciden held do your company need camera photage or any victim for claim by which you guys can justify that how it was damaged. I dont need that my whole scooter will repair there are some damage spots that was already dant or scratches on my scooter i dont want that you repair that dants and all scratches. The main purpose of claiming was the luggage box and he is deny to replace that, and said to me that i am not able to justify how it was done.
Kindly give me a mannarable response for this matter. If i dont need the luggage claim i could repaire my scooter from the local shops. According to your servere he was tryying to said that it was happend by my that i broke it by myself.

—
Thanks & regards!!

Krishna bawa

Respected sir,
My name is karanvir from khanna distt. Ludhiana (Punjab) pin 141401. Sir i insured my car tata tigor (P. B10gn0890) of your company on the name of my wife jyoti bhatia. My car met with an accident on 29/05/2018 and i register a complaint on concerned police station but sir company surveyor named kamalpreet (Contact no [protected]) of ludhiana branch is harrasing my wife with vulgar language and said i will not pass the claim. Whever my wife and me called him he uses vulgar comments. Sir i request u to please take a needfull action againt him.
Thanking you
Yours faithfully
Karanvir
([protected])

My wife was insured with oriental since 1993. She fell sick in november 2017 and was hospitalised for 6 days initially and for a month thereafter. Claim for the first sickness was partially met. Rs 40k against hospital bill of rs 140k. The second bill was for rs 780k. Claim submitted on january 1, 2018 is being stalled on one pretext or the other.
The insurance company has unilaterally with no claim bonus, medical test fees every four years and is applying the rules of group insurance to our claims while our policy is individual policy and the premium is almost five times the premium for equivalent coverage.
Reimburshment of claim towardsw the policy number 272101/48/2018/1302 a/c mrs neetu sandhir[protected]